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23A-002 BP-2023-1165 35 MEADOW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-002-001 CITY OF NORTHAMPTON Permit: Solar Build PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1165 PERMISSION IS HEREBY GRANTED TO: Project# 2023 SOLAR Contractor: License: Est. Cost: 16044 VALLEY SOLAR LLC CSL115680 Const.Class: Exp.Date: 04/09/2025 PERLMUTTER SAUL E& SHOSHANA R Use Group: Owner: ZONDERMAN TRUSTEES Lot Size (sq.ft.) Zoning: URB Applicant: VALLEY SOLAR LLC Applicant Address Phone: Insurance: 116 PLEASANT ST, SUITE 321 (413)584-8844 EXT 217 376140840101 EASTHAMPTON, MA 01027 ISSUED ON: 08/28/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 9 PANEL 3.60 KW ROOF MOUNT SOLAR SYSTEM ON DETACHED GARAGE WITH 50.8 FT TRENCH FOR CONDUIT TO HOUSE (NO STRUCTURAL NO BATTERY) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • a' O � Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner oFpT c2S The Commonwealth of Massachusett �O9 yq o�N Board of Building Regulations and Standards loti NS• A OR 4-0 : y Massachusetts State Building Code, 780 CMR Moo, 460 gy M USE CIPALITY Building Permit Application To Construct,Repair,Renovate Or Demolish R vised Mar 2011 One-or Two-Family Dwelling is Section For Official Use Only Building Permit Nuum/ber.3 " f'I 6 Date Applied: l Ko55 1Z/Z- 8-25-ZDz5 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 35 Meadow St. Florence, MA 01062 I.la Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Saul Perlmutter Florence,MA 01062 Name(Print) City,State,ZIP 35 Meadow St (413)584-7743 saulp@umass.edu No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:Solar Brief Description of Proposed Work': Installation of a 9-panel roof-mounted solar array on detached garage.System size 3.600kW DC.Trenching 50.8ft from array to house to lay conduit. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $11,231 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $4 813 0 Standard City/Town Application Fee ' ❑Total Project Costa (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All FeeEtEl Check No. `k Check Amount:', ` Cash Amount: 6. Total Project Cost: $ 16,044 0 Paid in Full 0 Outstanding Balance Due: SICTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisorr~License(CSL) CS-115680 04/09/2025 Patrick Rondeau License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 53 Fox Farm Rd No.and Street Type Description 01062 U Unrestricted(Buildings up to 35,000 Cu.ft.) Florence,MA City/Town,State,ZIP R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-584-8844 permits@valleysolar.solar I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Solar LLC 186338 10/27/24 Valley HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 116 Pleasant Street,Suite 321 permits@valleysolar.solar No.and Street Email address Easthampton, MA 01027 413-584-8844 City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes . No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Valley Solar LLC to act on my behalf,in all matters relative to work authorized by this building permit application. Aeti..42 PtAlminuet, 08/21/2023 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. P /01 8/21/23 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms . Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts vffi DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ` w1 5 Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Valley Recycling, 234 Easthampton Rd, Northampton, MA 01060 The debris will be transported by: Name of Hauler: Valley Solar LLC Signature of Applicant: ��t2`.ci D �� '�4 Date: 8/21/23 SN The Commonwealth of Alassachusetts I Department of Industrial Accidents / Congress Street,Suite 100 ;• Boston, 31A 02114-2017 www.mass.govidia /niters'Compensation Insurance Affid.iN it:Builders/ContractorsiElectricianstrIumbers. it)BE FILED WItll ! tit.PER\It 1-11Nt;Atl'Howtry. Applicant Information Please Print Lefeiblv Nan 4iusInc.,..h IdiganIta 'nthk/milt, Valley Solar LLC Address: 116 Pleasant St Suite 321 City/State Zip: Easthampton, MA 01027 Phone#:413-584-8844 1/4 re sow entplaiv ler?Check the pprnpriate but Type of project(required): i)E1 I am a employer with 30 erlirillYetik(MI and:or part-time)..• 7. 9 New construction I am a sole proptienia or puxtrierstitp aid Isom ZW1 employms working for me in R. a Remodeling arty cati0e.q.[No workers'comp.insisnince resourtall 9. Demolition 30 am a hottscownm&In lIwork myself.'No workt.vs cow_anciranoe rerparretil 10 9Building addition 43E] ,r2t homeownifr and will he hams contractors to c-umluct all wink on my piopc.rty_ I w ensure that all contractors either kV*e workers`compensation insurance or me sole 1 1.0 Electrical repairs or additions piorndois wail g,orItipk124'el.h, 110 Plumbing repairs or additions I am a ectimal contractor and I ba,.e hired the sob-contractors listed on the attached'beet 1 ID Root repairs These sub-contractors have employees and have workers*comp.insurance.; 14.0: Other Solar 6.0 we air u earimeation and its officers have ca.i.reised Liam righton f,..1 of exempti !1/41(A. 151§114).and We ha..a no empluyee%.[No workers'OLIITIp.insurance *Any applicant that checks box. I mot also fill out the,section below show ing then'4 tit k.cT,'ermiperisattkict pot te.!, oilor:ratio:A" itinneowners who stilmni this affitko. indiewirig they ate doing all work and dam hire outside con mietocs must submit a new affidavit indiL-ating smh Curarrietort.that cheLk thv box most attached an alditional slim(show ing the name(.4 the sith-contracturi and state whether UT nor titivs triplo,ec, It bi -ob-.....,iltr.ct.”t,kr,e ttLe:, im,a [NM id.:their Aorker,",..vmp policy 1.1Lutt-tivr _ , — I urn an employer that is providing, harkers'compen in insurance for my employees. Below is the policy and job site informathot Insurance Company Name: Continental Indemnity/AUW Policy#or Self-ins. Lie. 376140840101 Expiration Date. 09/01/2023 Job Site Addres . 35 Meadow St Florence, MA 01062 Attach a copy of the I?tirkers'compensation policy declaration page(showing the policy number and espiration date). Failure to secure coverage as required tinder MGL e. 152, §25A is a criminal violation punishable by a fine up to S1.500.00 armor one-year imprisonment,as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to S250.0) day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjaary that the infiyrmation provided above is true and correct Signature: I1)a-6- /e5V-LZO—Ca.z Date: 8/21/23 phone 413-584-8844 Official use only. Do not wile In his area,to be completed by city or town officiaL City or Town: PermitfLicense Issuing Authority (circle one): I. Board of Health 2. Building Department 3.(It)rTown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone 4: